DR. GARY TANNENBAUM (NPI# 1811949670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811949670 |
| Entity Type | Individual |
| Full Name | DR. GARY TANNENBAUM |
| Practice Address |
984 N Broadway Suite 501 Yonkers NY 10701-1318 |
| Practice Telephone | 9149652606 |
| Practice Fax Number | 9149652880 |
| Mailing Telephone | 9149652606 |
| Mailing Fax Number | 9149652880 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 160375 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
160375 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
984 N BROADWAY SUITE 501 |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824828 | Kurt E Lauer | Specialist | 984 N Broadway, Suite L-05, Yonkers, NY 10701-1321 | 2005-10-07 |
| 1376105163 | Sheeja Kurian | Nurse Practitioner | 984 N Broadway, Yonkers, NY 10701-1318 | 2019-07-02 |
| 1477063188 | Christina Elizabeth Rajan | Pediatrics | 984 N Broadway, Yonkers, NY 10701-1318 | 2017-10-08 |
| 1457887424 | Afsana Qader, Dpm P.C. | Podiatrist | 984 N Broadway, Suite L07, Yonkers, NY 10701-1318 | 2017-05-11 |
| 1487195913 | Jonathan H Gorman Dds LLC | Clinic/Center | 984 N Broadway, Suite 504, Yonkers, NY 10701-1318 | 2017-03-16 |
| 1497114763 | Frank Meglio Medical Pllc | Psychiatry & Neurology | 984 N Broadway, Suite 419, Yonkers, NY 10701-1318 | 2016-02-16 |
| 1902263809 | Jazmine Andrea Dessaure | Registered Nurse | 984 N Broadway, Yonkers, NY 10701-1318 | 2016-01-22 |
| 1457725038 | Zakhar Shkadron | Physical Therapist | 984 N Broadway, Suite L-09, Yonkers, NY 10701-1318 | 2015-11-19 |
| 1316371420 | North Yonkers Chiropractic Services PC | Chiropractor | 984 N Broadway, Suite L-09, Yonkers, NY 10701-1318 | 2013-08-26 |
| 1760720106 | Montefiore Medical Center | Internal Medicine | 984 N Broadway, Yonkers, NY 10701-1318 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568795789 | Westchester Surgical Specialist | Surgery | 984 N Broadway, Suite 501, Yonkers, NY 10701-1318 | 2009-09-08 |
| 1992951925 | Nirav Patel | Surgery | 984 N Broadway, Suite 501, Yonkers, NY 10701-1318 | 2008-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.